Eden Rejuvenation Center for Wellbeing PLLC
NPI 1023602588ActiveOrganization· Internal Medicine· Fort Worth, TX
Internal Medicine in Fort Worth, Texas, registered in NPPES in February 2021. The authorized official on file is Biju Mathew, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023602588 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2021 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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